Individual
DR. ROBERT JAMES BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
530 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 587-2162
Mailing address
530 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 587-2162
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
07/30/2025
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